350.1 General Policy

The CAO will consider the total countable earned and unearned income of all applicant/recipient group members when determining eligibility for Non moneyPayment (NMP) and Medically Needy Only (MNO)Medical Assistance (MA). 55 Pa. Code § 181.2

State and federal laws exclude certain types and sources of income. Excluded sources of income for TANF-related, GA-related, and SSI-related categories are listed in this chapter and are not counted in the eligibility decision.

The applicant/recipient must apply for or obtain any possible source of income available to him or her. An individual who, without good cause, does not cooperate in obtaining possible benefits is ineligible for MA. 55 Pa. Code § 181.1(d)

For TANF-related and SSI-related categories, the individual is ineligible until he or she cooperates.

For GA-related categories, the individual is ineligible for 60 days. After 60 days, the individual stays ineligible until they cooperate.

If a non applicant parent might be eligible for possible benefits, the parent must apply for the possible benefits. If the individual who might be eligible is an unemancipated minorchild, the child is ineligible until the parent or other adult member cooperates. 55 Pa. Code § 181.1(d)

Reminder:Resources are excluded for any individual who has a child under age 21 in the household if the individual is the mother or father of the child or the individual is taking care of and in charge of the child. In these cases, if the possible benefit is a resource that would not make any income, the parent would not have to apply.

350.11 Proof

The individual, or a individual acting for him or her, must report and show proof of all earned and unearned income used to determine MA eligibility.